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Marian College Induction form

All the information on this form will be confidential to the Pastoral Care team at the College.

SECTION A – HOME DETAILS

Student’s first name: *

Date of birth *

Student’s PPSN number (THIS IS ESSENTIAL INFORMATION)*

Address*

Home Telephone *

Second address (if parents living apart)

Home telephone

Father’s name & surname *

Mobile*

Email*

Mother’s name & surname *

Mobile

Email

Mother’s maiden name

If student living with guardian Guardian’s name & surname

Guardian’s address

Email

Mobile

SECTION B – CURRENT SCHOOL

Current school: *

Address

Name of Principal

Learning Support

Learning Support means extra one-to-one or group tuition your son may have received in school Has your son received any learning support while in school?

Yes

No

If yes, in what area (e.g. Maths, English) and in what classes (e.g. 5th class primary, 1st year secondary)

Exceptional Ability

Exceptional Ability means any special talents your son may have in particular subjects, for example Maths, Art, Music, Sport etc.. Does your son have exceptional ability in any area?

Yes

No

If yes, in what areas

Special Needs Assistant (SNA)

Special Needs Assistants are people who help the teacher inside or outside the classroom. They are sometimes appointed to a child on an individual basis (if the child has particular learning, behavioural or physical difficulties). Did your son have an SNA at any stage of his schooling to date?

Yes

No

If yes, in what classes (e.g. 5th class primary)

Educational assessment

If a child is experiencing difficulties with learning, he may be referred to an educational psychologist for an assessment to find out whether he may have specific learning difficulties such as Dyslexia. Was your son ever referred for assessment by an educational psychologist?

Yes

No

If yes, could you forward a copy of any such report(s) to the Principal of Marian College with this form

(These reports may be held by the primary school principal or by the psychologist)

Other assessment

If a child is experiencing behavioural difficulties, he may be referred to a doctor or to a clinic (such as the Lucena Child and Adolescent Clinic) Was your son ever referred for a behavioural assessment to a doctor or clinic?

Yes

No

If yes, is he currently attending such a doctor or clinic?

Yes

No

If yes to either of these last questions, could you forward a copy of any such report(s) to the Principal of Marian College with this form

Irish language

Exemption from the learning of Irish is only granted by the Department of Education & Science if a child (a) has arrived from abroad after the age of 11 or (b) has been diagnosed by an educational psychologist as having a ‘Specific Learning Difficulty’. This exemption is provided by his Irish primary school (or by Marian College in the case of students who will be arriving into Ireland at the start of secondary school at Marian College) Is your son already officially exempt from the study of Irish?

Yes

No

If yes, you must forward a copy of the school exemption with this form

Nationality questions (see Circular 0023/2016)

Was your son born in a country other than Ireland?

Yes

No

If yes, please answer the following questions?

Date of arrival in Ireland:

Country of birth of student:

Nationality

Nationality of father:

Nationality of mother :

Child’s mother tongue (the language a child speaks as their first language) is

The Depart of Education and Skills is seeking the following information where the parent opts to provide it. If you consent to provide this information, please tick the ethnic or cultural background to which this pupil belongs:

Sports or other clubs

I/we wish my/our son to become a student at Marian College for the 2017/2018 academic year.

I/we agree that I/we will respect the ethos of the College as a Marist Catholic school.

I/we will do my/our best to ensure that my/our son complies with the rules and regulations of the College.

I/we consent to the recording by the school of certain sensitive personal data which will be furnished to the Department of Education & Skills in the annual October returns.

I/we agree that Marian College may receive on a confidential basis our son’s school reports and any other reports (including psychological reports).

I/we also agree that if in the school’s opinion, my/our son should require guidance and counselling that I/we assent to his availing of such services at the College.

I/we give my/our consent to use photographs or video of my son solely for the use of school promotional purposes.

I agree to respect the ethos of the College as a Marist Catholic school and I agree to abide by the rules and regulations of the College at all times

Note: The school is a Data Controller under the Data Protection Acts 1998 and 2003. While the information provided will generally be treated as confidential to the school, from time to time it may be necessary for the school to exchange personal data on a confidential basis with other bodies including the Department of Education, Department of Social and Family Affairs, An Garda Siochána, the HSE, National Educational Welfare Board. Please see our school